전국의료관련감염감시체계 중환자실 부문 결과 보고: 2016년 7월부터 2017년 6월
DC Field | Value | Language |
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dc.contributor.author | 곽이경 | - |
dc.contributor.author | 최영화 | - |
dc.contributor.author | 최준용 | - |
dc.contributor.author | 유현미 | - |
dc.contributor.author | 이상오 | - |
dc.contributor.author | 김홍빈 | - |
dc.contributor.author | 한수하 | - |
dc.contributor.author | 이미숙 | - |
dc.contributor.author | 김효열 | - |
dc.contributor.author | 김성란 | - |
dc.contributor.author | 김태형 | - |
dc.contributor.author | 박선희 | - |
dc.contributor.author | 유소연 | - |
dc.contributor.author | 최평균 | - |
dc.contributor.author | 은병욱 | - |
dc.contributor.author | 신명진 | - |
dc.contributor.author | 최지연 | - |
dc.contributor.author | 구현숙 | - |
dc.contributor.author | 어영 | - |
dc.contributor.author | 유진홍 | - |
dc.date.accessioned | 2021-06-18T08:40:48Z | - |
dc.date.available | 2021-06-18T08:40:48Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 1226-2382 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/45416 | - |
dc.description.abstract | 배경: 전국의료관련감염감시체계(Korean National Healthcare-associated Infections Surveillance System, KONIS) 중환자실 부문에서 2016년 7월부터 2017년 6월까지 감시를 수행한 열 번째 연간 자료 보고이다. 방법: 전국에 있는 193개 병원의 285개 중환자실에서 발생한 의료관련 요로감염, 혈류감염, 폐렴에 대해 전향적으로 감시를 수행하였다. 의료관련감염률과 기구관련 의료관련감염률은 1,000 재원일수(patient-days, PD) 또는 1,000 기구일수(device-days, DD) 당 감염 건수로 구하였다. 기구사용비는 기구일수/재원일수로 계산하였다. 결과: 총 3,989건의 의료관련감염이 발생하였는데, 요로감염이 1,241건, 혈류감염이 1,757건, 폐렴이 991건이었다. 유치도뇨관 관련 요로감염은 1,189건으로 1.01/1,000 DD (95% 신뢰구간, 0.95-1.07)이었고, 유치도뇨관 사용비는 0.85 (95% 신뢰구간, 0.849-0.851)로 각각 전년도의 0.88/1,000 DD (95% 신뢰구간, 0.82-0.95)와 0.84 (95% 신뢰구간, 0.839-0.841)에 비해 높았다. 중심정맥관 관련 혈류감염은 1,481건으로 감염률은 2.23/1,000 DD (95% 신뢰구간, 2.12-2.35)이었고, 중심정맥관 사용비는 0.48 (95% 신뢰구간, 0.479-0.481)였다. 인공호흡기 관련 폐렴은 480건으로 감염률은 1.00/1,000 DD (95% 신뢰구간, 0.91-1.09)이었고, 인공호흡기 사용비는 0.35 (95% 신뢰구간, 0.349- 0.351)이었다. 결론: 전년도 자료와 비교할 때 전체 의료관련감염률은 유사하였으나 유치도뇨관 관련 요로감염 발생률이 증가하였다. | - |
dc.description.abstract | Background: In this report, we present the annual data of the intensive care unit (ICU) module of the Korean National Healthcare-associated Infections Surveillance System (KONIS) from July 2016 through June 2017. Methods: We performed a prospective surveillance of healthcare-associated urinary tract infection (UTI), bloodstream infection (BSI), and pneumonia (PNEU) at 285 ICUs in 193 hospitals using KONIS surveillance system. Healthcare-associated infection (HAI) and device-associated infection rates were calculated as the numbers of infections per 1,000 patient-days (PD) and device-days (DD), respectively. Device utilization was calculated as a ratio of device days to patient days. Results: A total of 3,989 HAIs were found during the study period; 1,241 UTIs (1,189 cases were urinary catheter-associated), 1,757 BSIs (1,481 were central line-associated), and 991 PNEUs (480 were ventilator-associated). The rate of urinary catheter-associated UTIs (CAUTI) was 1.01 cases per 1,000 DD (95% confidence interval [CI], 0.95–1.07) and urinary catheter utilization ratio was 0.85 (95% CI, 0.849–0.851). These were higher than the data of the previous year, 0.88/1,000 DD (95% CI, 0.82-0.95) and 0.84 (95% CI 0.839-0.841), respectively. The rate of central line-associated BSIs was 2.23/1,000 DD (95% CI, 2.12–2.35) while the central line utilization ratio was 0.48 (95% CI, 0.479–0.481). The rate of ventilator-associated PNEUs was 1.00/1,000 DD (95% CI, 0.91–1.09) while the ventilator utilization ratio was 0.35 (95% CI, 0.349–0.351). Conclusion: The overall HAI rate was similar to that of the previous year but the rate of CAUTI increased. | - |
dc.format.extent | 14 | - |
dc.language | 한국어 | - |
dc.language.iso | KOR | - |
dc.publisher | 대한의료관련감염관리학회 | - |
dc.title | 전국의료관련감염감시체계 중환자실 부문 결과 보고: 2016년 7월부터 2017년 6월 | - |
dc.title.alternative | Korean National Healthcare-associated Infections Surveillance System, Intensive Care Unit Module Report: Summary of Data from July 2016 through June 2017 | - |
dc.type | Article | - |
dc.identifier.bibliographicCitation | 의료관련감염관리, v.23, no.2, pp 25 - 38 | - |
dc.identifier.kciid | ART002415110 | - |
dc.description.isOpenAccess | N | - |
dc.citation.endPage | 38 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 25 | - |
dc.citation.title | 의료관련감염관리 | - |
dc.citation.volume | 23 | - |
dc.publisher.location | 대한민국 | - |
dc.subject.keywordAuthor | Healthcare-associated Infection | - |
dc.subject.keywordAuthor | Intensive care unit | - |
dc.subject.keywordAuthor | Korean National Healthcare-associated Infections Surveillance System | - |
dc.subject.keywordAuthor | KONIS | - |
dc.description.journalRegisteredClass | kciCandi | - |
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